WITH PROF. HOWARD GLUCKMAN, BDS, MCHD, PHD
Prof. Howard Gluckman is an internationally respected periodontist, implantologist, author, and lecturer. In addition to running his full-time private practice in Cape Town, South Africa, he is the cofounder and director of the Implant and Aesthetic Academy. Prof. Gluckman specializes in immediate implant placement/load, soft-tissue esthetics, and periodontal plastic surgery. He also has a special interest in autogenous bone augmentation and is an expert in and thought leader on partial extraction therapy. He is a longtime contributor and lecturer for the DentalXP community and online education site.
Q:How did it feel to receive the prestigious Morton Amsterdam Award at this year’s DentalXP Global Symposium?
A:To be recognized by your peers is probably the most insane honor and such a privilege, especially when you’re being honored by people such as Drs. Maurice and Henry Salama, and Dr. David Garber, who have always been mentors in my life. We are now friends, but before I met them, they were gods—that’s how you saw them. So I don’t think it gets any better than being honored in that way. I would say it’s like an Academy Award type of vibe.
Q:In 2015, you published the palatal bone block graft technique as an alternative harvest site for autogenous bone blocks. How did that come about?
A:I was not happy with the bone substitutes that were being used, and I was not getting the success that the companies and other experts were portraying. I was using a lot of autogenous bone for these procedures, and I suppose my mind is always working to try and find a better way. I was sitting one day with 2 colleagues and asked, "Why can't we take bone from the palate to use as blocks?" I thought, if I’m placing an implant behind the front tooth and I can take bone from that area, it eliminates the need for a second surgical site, such as harvesting from the chin or the back of the jaw. For smaller grafts, why not use the palate? I asked the team for their thoughts, and they agreed there was no reason not to.
The next day, I went and harvested blocks from the palate and the results were staggering, because the quality of bone I got was excellent. There was no postoperative pain whatsoever because there was no muscle in the area. And when I opened up the cases, I had incredible bone. So I started collecting more and more cases, and then we published the palatal bone block technique with Maurice and Dr. Jonathan Du Toit. It was great, and I still use it today.